The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
Volume 20 , Issue 4
Showing 1-30 articles out of 30 articles from the selected issue
  • Type: Cover
    2006 Volume 20 Issue 4 Pages Cover10-
    Published: May 15, 2006
    Released: March 29, 2017
    JOURNALS FREE ACCESS
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  • Type: Cover
    2006 Volume 20 Issue 4 Pages Cover11-
    Published: May 15, 2006
    Released: March 29, 2017
    JOURNALS FREE ACCESS
    Download PDF (446K)
  • Type: Appendix
    2006 Volume 20 Issue 4 Pages App36-
    Published: May 15, 2006
    Released: March 29, 2017
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  • [in Japanese]
    Type: Article
    2006 Volume 20 Issue 4 Pages 613-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Satoshi Yamamoto, Masafumi Hiratsuka, Tatsu Miyoshi, Takeshi Shiraishi ...
    Type: Article
    2006 Volume 20 Issue 4 Pages 614-619
    Published: May 15, 2006
    Released: March 29, 2017
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    We examined the results between two groups recieving chest wall closure using the omental pedicle flap or muscle pedicle flap after open drainage for non-tuberculous chronic empyema. Since 2000, we have had 8 cases of open drainage therapy for non-tuberclotic chronic empyema. There were four cases of mental pedicle flap, and four cases of muscle pedicle flap. We performed chest wall closure using the omental pedicle flap for cases of incomplete purification, and using the muscle pedicle flap for other cases. It is necessary to establish the evidence of surgical treatment using the omental pedicle flap after open drainage for non-tuberclous chronic empyema, taking notice of the case using muscle pedicle flap.
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  • Takehiro Watanabe, Terumoto Koike, Takayuki Imakiire, Tatsuhiko Hirono
    Type: Article
    2006 Volume 20 Issue 4 Pages 620-625
    Published: May 15, 2006
    Released: March 29, 2017
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    We report two cases of pulmonary infection with Scedosporium Apiospermum. In case 1, a 66-year-old woman who had been diagnosed with bronchiectasis about 35 years earlier was admitted to our hospital because of massive hemoptysis. Chest CT showed bronchiectasia and multiple cavities with a fungus ball in the right upper lobe. A right upper lobectomy was performed in order to cease hemoptysis. Bacterial culture from the resected specimen revealed Scedosporium Apiospermum infection. In case 2, a 27-year-old woman who was born in China and came to Japan was admitted to our hospital because of the presence of cavity with mass in the right upper lobe. In spite of medication for pulmonary tuberculosis, enlargement of the lesion was recognized. A right upper lobectomy was performed for diagnosis and treatment. Bacterial Culture from the resected specimen revealed Scedosporium Apiospermum infection. Both patients recovered uneventfully after the operation.
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  • Masanobu Watari, Tatsuya Katayama
    Type: Article
    2006 Volume 20 Issue 4 Pages 626-630
    Published: May 15, 2006
    Released: March 29, 2017
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    A case undergoing right lower lobectomy for lung cancer developed acute respiratory distress syndrome caused by contralateral lung injury. Acute lung injury is usually seen in the bilateral lung in postoperative deterioration of usual interstitial pneumonia. However, in this case acute lung injury emerged in the contralateral lung. The reason it emerged only in the untouched contralateral lung is unknown. It may be that ventilator-induced lung injury contributed to contralateral lung injury developing in the dependent lung during one lung ventilation. We could not find any report relating to contralateral lung injury after surgical treatment for lung cancer. We regard this patient as a rare and important case.
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  • Yasuaki Kashu, Shinsuke Kajiwara, Hiroki Sugishita
    Type: Article
    2006 Volume 20 Issue 4 Pages 631-634
    Published: May 15, 2006
    Released: March 29, 2017
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    Inflammatory myofibroblastic tumor of the lung is rare non-neoplastic tumor. A 11-year-old male was referred to our hospital because of hemosputum. Chest X-P demonstrated a large tumor at the right lower lung field. MRI showed homogenous tumor (6cm diameter) with a clear border at the right middle lobe. Bronchoscopy showed a polypoid tumor at the orifice of the middle lobe bronchus. The tumor occluded the middle lobe without invasion to bronchus. Preoperative pathological diagnosis of the tumor based on a sample of coughed-up tumor was "Inflammatory myofibroblastic tumor". Via thoracotomy, the tumor was completely removed with a safe bronchial margin by resection of the right middle lobe. Inflammatory myofibroblastic tumor is a non neoplastic process, but is considered a low grade malignancy tumor because local recurrence of the tumor has been found several years after the surgery. The recommended treatment is complete resection. Careful long term postoperative observation is important.
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  • Wataru Nishio, Kenji Tsuboshima, Teppei Wakahara
    Type: Article
    2006 Volume 20 Issue 4 Pages 635-640
    Published: May 15, 2006
    Released: March 29, 2017
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    A 51-year-old man complained of common cold like symptoms. A chest X-ray film showed a mass lesion (13cm in diameter) in the right thorax, and a chest CT and a MRI film suggested that the tumor was a blood-rich chest wall tumor. Many feeding vessels were shown. A diagnosis of solitary fibrous tumor was established by CT guided needle biopsy, but then right pleural effusion increased with progression of anemia. To reduce operative blood loss, transcutaneous arterial embolization was performed on the day before the operation. Right 7th to 11th intercostal arteries were proved to be feeders by aortography, and embolized. After thoracotomy, bloody effusion retained was about 1000ml and a huge tumor was found to be abhered to the chest wall over 4 vertebrae and 5 intercostal spaces. So we abandoned extensive chest wall resection. The tumor was removed extrapleurally. Many fragile tumor vessels were shivered carefully. The Gross appearance showed the tumor had whitish capsules. We confirmed by frozen section that the resected margin was free from tumor invasion, so we stopped additional chest wall resection. The pathological diagnosis was a solitary fibrous tumor showing a pericytic vascular pattern in large parts. Immunohistochemical analysis showed it to be marginally malignant, so radiation therapy was administered to the chest wall. There is no sign of recurrence. We conclude that preoperative TAE is effective to safely resect huge SFTPs, which are diagnosed in the chest wall and blood-rich.
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  • Itaru Nagahiro
    Type: Article
    2006 Volume 20 Issue 4 Pages 641-644
    Published: May 15, 2006
    Released: March 29, 2017
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    We designed a new forceps for partial resection of the lung. The forceps has a semicircular part with a diameter of 6cm. We used the forceps in 5 cases of pulmonary metastasectomy and confirmed the practicality. The lung was clamped with the forceps and resected with diathermy or ultrasonic cutting and coagulation system, and the cutting edge was closed by two running sutures of 3-0 Nylon. Neither major bleeding nor air leakage was encountered after the closure.
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  • Ryo Maeda, Shinichi Sumitomo, Katsunari Matsuoka, Hiroyuki Misaki, Dai ...
    Type: Article
    2006 Volume 20 Issue 4 Pages 645-648
    Published: May 15, 2006
    Released: March 29, 2017
    JOURNALS FREE ACCESS
    A 61y.o.women was transfered to our hospital for cardiopulmonary arrest owing to sepsis. A chest CT demonstrated spreading mediatinal emphysema and pleural effusion. A debridment and a drainage were performed via right thoracotomy. But after the operation, she died of sepsis. DNM (descending necrotizing mediastinitis) resulting from oropharyngeal infection, spreading to mediastinum, is a serious life threatening infection. We experienced a case of DNM which followed the rapid course.
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  • Tetsuhiro Nakano, Yoshimi Otani, Kimihiro Shimizu, Takashi Ibe, Yasuo ...
    Type: Article
    2006 Volume 20 Issue 4 Pages 649-654
    Published: May 15, 2006
    Released: March 29, 2017
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    A 44-year-old man with anomalous systemic arterial supply to the left basal lung was admitted to a hospital complaining of sudden hemoptysis. Chest computed tomography (CT) scan showed a high density area in the left S^8 segment and no abnormal findings in the bronchial trees. An aortogram revealed that an aberrant tortuous artery diverged from the descending aorta supplied to the left lower lobe. Under the diagnosis of pulmonary sequestration, the patient was referred to our hospital. We diagnosed anomalous systemic arterial supply to the left basal lung because an aberrant artery supplied the left basal segments and the sequestrated lung was not recognized. A left lower lobectomy and transection of the aberrant artery after its closure with a knifeless endostapling device were performed. The postoperative course was uneventful. We report here the successful treatment of anomalous systemic arterial supply to the left basal lung and the use of chest CT scan findings for the diagnosis of this disease. Operative procedures and histopathological findings were also discussed.
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  • Kohei Nakata, Masato Kato, Mitsuru Nakagaki
    Type: Article
    2006 Volume 20 Issue 4 Pages 655-658
    Published: May 15, 2006
    Released: March 29, 2017
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    A 52-year-old woman was pointed out pneumothorax by medical examination of health promotion and admitted to our hospital. She has complained of a history of right chest pain with menstruation before this episode. The Chest X-ray findings showed right pneumothorax, and laboratory studies showed elevated CA125 in the serum. Preoperative findings suggested catamenial pneumothorax, and we performed surgical treament on the next day of the next estimated menstrutation. Thoracoscopy revealed a small bloody pleural effusion and multiple fistulas in the central tendon of the diaphgram. The diaphgram was excised with staples. Systemic hormone therapy was not done because of her age. The patient has been doing well during the two-year follow up period without recurrence. We herein report a very rare case of catamenial pneumothorax in an over 50-year-old woman.
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  • Yoshitaka Kasai, Natsumi Mori, Hitoshi Igai, Shintaro Tarumi, Sung Soo ...
    Type: Article
    2006 Volume 20 Issue 4 Pages 659-662
    Published: May 15, 2006
    Released: March 29, 2017
    JOURNALS FREE ACCESS
    67-year-old woman who had undertaken the lung resection 3 years ago was referred to our hospital due to dyspnea. Chest computed tomography showed a mass shadow in the left hilum approximately 5cm in diameter. The tumor obstructed the left main bronchus, and left pneumonectomy was performed for complete resection. Postoperative pathological examination showed the tumor cells with spindle-shaped proliferated in herring-bone pattern. And it was diagnosed as local recurrence of fibrosarcoma, because the feature was the same as the specimen that obtained 3 years ago. The rates of local recurrences are frequently found, though bronchopulmonary fibrosarcoma is rare. It is important to diagnose accurately and to perform complete resection with enough safety margin for its treatment.
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  • Tomoyuki Wakahara, Masahide Kaji
    Type: Article
    2006 Volume 20 Issue 4 Pages 663-666
    Published: May 15, 2006
    Released: March 29, 2017
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    A 69-year-old man with a diagnosis of thymoma was referred to our department. Extended thymectomy was performed. Surgical specimen showed a multilocular cyst with a thickened and hard wall containing a yellowish turbid fluid. Microscopically it showed cystic walls lined by multilayered squamous or cuboidal epitherium and inflammatory change within the walls, and multilocular thymic cyst was diagnosed. Multilocular thymic cyst is a rare entity that occurs as a result of an inflammatory process, and is different from congenital unilocular thymic cyst. Some reported cases of mulilocular thymic cyst are related with Sjogren syndrome, aplastic anemia, AIDS, or chronic myeloid leukemia, however, our case was thought to be idiopathic.
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  • Hiroyuki Ishikawa, [in Japanese], Seiji Matumoto, Mio Ri, Seiki Hasega ...
    Type: Article
    2006 Volume 20 Issue 4 Pages 667-671
    Published: May 15, 2006
    Released: March 29, 2017
    JOURNALS FREE ACCESS
    A 29-year-old female was referred to our hospital with recurrent pneumonia and hemoptysis. A chest X-ray and a CT revealed the loss of volume of the right lung. The pulmonary angiogram confirmed the absence of the right pulmonary artery. The right lung was not considered functional with secondary bronchiectasia. We performed a right pneumonectomy after embolization to the right lateral thoracic artery to decrease the bleeding. We were able to complete the operation with little blood loss and without blood transfusion.
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  • Masahiro Sakaguchi, Tetsuo Kido, Mitsunobu Tamura, Kazuya Hiraoka, Aki ...
    Type: Article
    2006 Volume 20 Issue 4 Pages 672-676
    Published: May 15, 2006
    Released: March 29, 2017
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    We report two cases of enlarged thymic gland associated with Basedow disease. Case 1: A 32-year-old-man was referred to our hospital for surgery under a provisional diagnosis of thymoma. Radiological study revealed diffuse enlargement of the thymic gland with no evidence of tumor. Since the possibility of thymoma was very small, thymic biopsy under video-assisted thoracoscopic surgery was performed. Histological diagnosis was thymic hyperplasia. Case 2: A 26-year-old woman with Basedow disease visited our department to ask for opinions on the management of an enlarged thymus. Chest CT revealed diffuse enlargement of thymus in a triangular shape. Based on our experience of the first case, we decided not to perform thymectomy but to recommend a control of thyroid function. Clinicians should note that thymic hyperplasia occasionally associates with Basedow disease and unnecessary thymectomy should be avoided.
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  • Motoaki Yasukawa, Katsuhiro Nakagawa, Hiroshi Katsura, Teruo Iwasaki, ...
    Type: Article
    2006 Volume 20 Issue 4 Pages 677-681
    Published: May 15, 2006
    Released: March 29, 2017
    JOURNALS FREE ACCESS
    The patient was a 35-year-old woman who complained of repeated right chest pain and pleural effusion. After 2 years right pleural tumor was found. Under video-assisted thoracoscopy, a disseminated multiple tumor was seen in both the parietal pleura and visceral pleura. Based on the findings from the biopsy sample, she was diagnosed as multiple calcifying fibrous pseudotumor (CFPT). Second-staged resection with free margin was performed. No recurrent lesion was found 6 months after second operation. This is a case report of Multiple CFPT originating from the pleura is rare. As reported, complete resection of all tumor can control CFPT.
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  • Hideki Matsudaira, Hideyuki Suzuki
    Type: Article
    2006 Volume 20 Issue 4 Pages 682-685
    Published: May 15, 2006
    Released: March 29, 2017
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    We report a case of thoracoscopic plication for diaphragmatic eventration in an elderly patient. A 75 year-old woman was admitted to our hospital with progressive dyspnea on exertion and postprandial epigastralgia. Chest X-ray and CT scan showed marked elevation of the left diaphragm and atelectasis of the left lung. Eventration of the diaphragm was diagnosed. Surgical plication was indicated, but due to the poor respiratory status of the patient, thoracoscopic surgery was choosen to avoid thoracotomy. The redundant diaphragm was plicated with endoscopic linear stapler. During the thoracoscopic procedures, laparoscopic examination was conducted simultaneously to ensure safety and avoid damage to other organs. After plication, epigastralgia and dyspnea on exertion were resolved. The postoperative course was uneventful and no recurrence was observed. Thoracoscopic plication may be conducted safety and successfully in aged patients.
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  • Takahiro Sawada, Kaoru Koike, Masami Sato, Satomi Takahashi
    Type: Article
    2006 Volume 20 Issue 4 Pages 686-693
    Published: May 15, 2006
    Released: March 29, 2017
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    In the last ten years, we have performed 59 thoracotomies for many sorts of pulmonary metastatic cases. We have experienced only two metastatic cases from gastric cancer. Among metastatic tumors from digestive system, metastases from colorectal cancer are frequent and accompanied with positive postoperative courses. On the other hand, we have many cases of carcinomatous lymphangiosis or carcinomatous pleuritis as a form of metastasis from gastric cancer, resulting in inoperableness and poor prognosis. We reported our two experiences of metastasis from gastric cancer with consideration of the literature. Case 1: A 76-year-old man who had undergone a total gastrectomy was admitted. A nodular shadow in the left lung was detected. A gradual enlargement of shadow was observed. We suspected a primary lung cancer and performed a left lower lobectomy with ND2a lymph node dissection. Case 2: A 82-year-old man who had undergone a distal gastrectomy was admitted. Two nodular shodows were detected in the left lung. We also suspected a primary lung cancer and performed a thoracoscopic partial resection. In both cases, histopathological examination suggested the metastasis from gastric cancer.
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  • Satoshi Oi, Kozo Matsushita, Hiroshi Neyatani, Kazuhito Hunai, Kazuya ...
    Type: Article
    2006 Volume 20 Issue 4 Pages 694-697
    Published: May 15, 2006
    Released: March 29, 2017
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    A 48-year old man was referred to our hospital because of right spontaneous pneumothorax. We performed bullectomy by video assisted thoracic surgery (VATS). The pathological findings revealed that a malignant solitary fibrous tumor (MSFT) consisted in part of the specimen. The disease recurred 2 times and the patient finally died about one year after the first operation. Long-term clinical follow-up is recommended for all patients with solitary fibrous tumor because of the potential adverse biological behavior of this tumor, which may lead to repeated recurrences and malignant transformation.
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  • Type: Appendix
    2006 Volume 20 Issue 4 Pages App37-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Type: Appendix
    2006 Volume 20 Issue 4 Pages App38-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Type: Appendix
    2006 Volume 20 Issue 4 Pages App39-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Type: Appendix
    2006 Volume 20 Issue 4 Pages App40-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Type: Appendix
    2006 Volume 20 Issue 4 Pages App41-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Type: Appendix
    2006 Volume 20 Issue 4 Pages App42-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Type: Appendix
    2006 Volume 20 Issue 4 Pages App43-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Type: Cover
    2006 Volume 20 Issue 4 Pages Cover12-
    Published: May 15, 2006
    Released: March 29, 2017
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  • Type: Cover
    2006 Volume 20 Issue 4 Pages Cover13-
    Published: May 15, 2006
    Released: March 29, 2017
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